Updated 17 April 2020
Improving care for women during pregnancy and around the time of childbirth to prevent and treat pre-eclampsia and eclampsia is a necessary step towards the achievement of the health targets of the Sustainable Development Goals (SDGs). Efforts to prevent and reduce morbidity a...nd mortality due to these conditions can help address the profound inequities in maternal and perinatal health globally. To achieve this, healthcare providers, health managers, policy makers and other stakeholders need up-to-date and evidence-informed recommendations to guide clinical policies and practices.
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Lessons from three African Countries.
Achieving Health for All, and in particular universal health coverage (UHC), will not happen without fully functioning basic water, sanitation and hygiene (WASH) services in all health care facilities. Such services are needed to provide quality care, ensure ad...herence to infection prevention and control (IPC) norms and standards and guarantee that facilities are able to provide environments that respect the dignity and human rights of all care seekers, especially mothers, newborns and children. WHO undertook a series of national situational analyses in three countries (Ghana, Ethiopia and Rwanda) to understand current barriers to change, accountability structures and measures to strengthen WASH in health care facilities and more broadly, the quality of health service delivery.
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For COVID-19, as for many infectious diseases, the true level of transmission is frequently underestimated because a substantial proportion of people with the infection are undetected either because they are asymptomatic or have only mild symptoms and thus typically fail to present at healthcare fac...ilities. There may also be neglected or under-served segments of the population who are less likely to access healthcare or testing. Under-detection of cases may be exacerbated during an epidemic, when testing capacity may be limited and restricted to people with severe cases and priority risk groups (such as frontline healthcare workers, elderly people and people with comorbidities). Cases may also be misdiagnosed and attributed to other diseases with similar clinical presentation, such as influenza.
Differences in mortality between groups of people and countries are important proxy indicators of relative risk of death that guide policy decisions regarding scarce medical resource allocation during the ongoing COVID-19 pandemic. This document is intended to help countries estimate CFR and, if possible, IFR, as appropriately and accurately as possible, while accounting for possible biases in their estimation
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Arabic Version of Guidance for mental health and psychosocial support for COVID-19
The WHO and UNICEF-led Hand Hygiene for All Initiative aims at ensuring implementation for WHO's global recommendations on hand hygiene to prevent and control COVID-19 pandemic, and hand hygiene improvement sustainability in countries as a mainstay of wider infection prevention and control (IPC) and... water, sanitation and hygiene (WASH) efforts.
But how can hand hygiene implementation be successful? By implementing strategies and approaches proven through the successes of the WHO Save Lives: Clean Your Hands campaign and fostering integration between hand hygiene and WASH improvements. This brief draws on learning from legacy work and the current evidence based and summarizes how joint action and collaboration are essential for successful strategies, in the context of the COVID-19 response and beyond
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This document provides guidance to Member States in the WHO European Region that wish to conduct behavioural insights studies related to COVID-19. Studies can be used to monitor public knowledge, risk perceptions, behaviours and trust with the overall aim to inform national COVID-19 outbreak respons...e measures, including policies, interventions and communications.
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تقوم الأدوية التقليدية أو الأدوية النباتية المعتمدة على الأعشاب بدور كأدوية بديلة. عليه، فإنه من المهم ٍ واسعٍم على نطاقَستخدُالأمراض في إفريقيا وتتقييم كلٍّ من س...امة
وفعالية هذه الأصول النباتية الأصلية في الطب قبل المصادقة والجمهور.على استخدامها من قبل المجتمع الطبي
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The WHO Global Health Estimates show that nearly half a million deaths (493 471) occurred in the WHO European Region due to violence and injuries in 2016. This represents a decline of 29% from 2000. Injuries account for 5.3% of all deaths and 9.6 of all years of life lost. They are a leading cause o...f death in people aged 15–29 years and the second leading cause of death for young people aged 5–14. The three leading causes of injury deaths are self-directed violence (141 089), falls (83 325) and road-traffic injuries (78 198). Inequalities in injury deaths exist in the Region, with mortality rates 2.4 times higher in males than in females and 1.5 times higher in middle-income compared to high-income countries.
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One of the most obvious ways in which to ensure impartiality in a health care system is to require impartiality of all actors in the system, i.e. to give health care professionals a duty to treat everyone impartially and to deny them the ‘right’ to give their patients preferential treatment. And... one of the possible side-effects of allowing individual health care professionals to give preference to ‘their clients’ is to create inequality in health care. This paper explores the conflict and proposes that it can be right to give preference to ‘your’ patients in certain circumstances.
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May 2020 International Journal of Infectious Diseases 96 DOI: 10.1016/j.ijid.2020.05.003
While many of the countries hit by the COVID-19 in the first few months of the year are now beginning to relax lockdown measures as infection and death rates fall, in the regions most affected by HIV, TB and malaria, such as Africa, South Asia and Latin America, the pandemic continues to accelerate.... In lower resource settings, lockdowns are less effective and hard to sustain, and clinical care facilities are extremely limited. In such environments, the response to COVID-19 must focus on containing the pandemic’s spread as far as possible through testing, contact tracing and isolation, protecting the health workforce through training and the provision of personal protective equipment (PPE) and minimizing the knock-on impact on other diseases through shoring up fragile health systems, and adapting existing disease programs.
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Das Tragen von Mund-Nasen-Bedeckungen kann neben anderen Maßnahmen nach aktuellem Wissensstand helfen, die Verbreitung des Coronavirus SARS-CoV-2 weiter einzudämmen – auch wenn keine Krankheitszeichen vorliegen. Dieses Merkblatt informiert über verschiedene Arten von Mund-Nasen-Bedeckungen, der...en jeweilige Schutzfunktion, welche wann empfohlen wird und was beim Tragen zu beachten ist.
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A list of some of the many free documents and websites that can add to the information in the papers published in this issue of SSMJ. Many are regularly updated. Let us know of other resources relevant to those working in and with South Sudan.
This guidance document addresses how physical distancing (referred to in previous guidance documents as ‘social distancing’) can help slow down transmission.
Dieser Leitfaden zum Management von COVID-19 Ausbruechen richtet sich in erster Linie an die Fachöffentlichkeit im Gesundheitswesen, insbesondere den ÖGD auf allen Ebenen. Er verweist auf viele bereits existierende generische sowie für COVID-19 entwickelten Dokumente. Diese Empfehlungen sind alle... unter www.rki.de/covid-19 zu finden, darunter Empfehlungen für das Kontaktpersonenmanagement, Optionen für die Kontaktreduzierung, Kriterien für die Risiköinschätzung von Grossveranstaltungen und Hilfestellung zum Schutz besonders gefährdeter Gruppen. Informationen für Reisende sind beim Auswärtigen Amt zu finden. Informationen zur regionalen oder lokalen Ebene geben die Landes- und kommunalen Gesundheitsbehörden.
Die Inhalte basieren auf den Erkenntnissen zu Erkrankungen (COVID-19) mit Infektionen durch das neuartige Coronavirus (SARS-CoV-2) zum jeweils angegebenen Datenstand. Das Dokument wird aktualisiert und ergänzt, sobald neue Erkenntnisse eine Aktualisierung/Änderung der Empfehlungen notwendig machen.
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J Hosp Infect. 2020 Apr 8. pii: S0195-6701(20)30176-6. doi: 10.1016/j.jhin.2020.04.001. [Epub ahead of print]
O protocolo a seguir foi desenvolvido para investigar o alcance da infecção, conforme determinado pela soropositividade da população geral, em qualquer país com casos confirmados de infecção pelo COVID-19. Os países talvez tenham que adaptar alguns aspectos deste protocolo para os respectivo...s sistemas de saúde pública, bem como sistemas laboratoriais e clínicos, de acordo com a capacidade, disponibilidade de recursos e adequação cultural. No entanto, usando-se um protocolo padronizado, tal como o descrito abaixo, dados de exposição epidemiológica e amostras biológicas podem sercoletados de forma sistemática, e rapidamente compartilhados em um formato que facilite sua agregação, tabulação e análise em diferentes cenários globais, para estimar prontamente a gravidade as taxas de ataque da infecção pelo vírus COVID-19, bem como embasar respostas de saúde públicae decisões relativas a políticas públicas. Isso é particularmente importante no contexto de um novo patógeno respiratório, como o COVID-19.
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